Individual
DR. MATTHEW JAMES SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1501 N CEDAR CREST BLVD STE 110, ALLENTOWN, PA 18104-2309
(610) 821-2828
(610) 821-7915
Mailing address
1501 N CEDAR CREST BLVD STE 110, ALLENTOWN, PA 18104-2309
(610) 821-2828
(610) 821-7915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS017229
PA
207R00000X
Internal Medicine Physician
OT015008
PA
207RG0100X
Gastroenterology Physician
Primary
OT015008
PA
Other
Enumeration date
05/13/2013
Last updated
05/26/2021
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